Koidu Government Hospital

Koidu Government Hospital (KGH) is widely recognized as a model hospital in Sierra Leone, drawing patients from across the country, and neighboring countries like Liberia and Guinea.
Our Impact
Since 2015, PIH has supported Sierra Leone’s Ministry of Health (MOH) by strengthening operations and expanding patient-centered services at KGH. Through a joint management approach, MOH and PIH-SL have made huge strides in the quality of service delivered at KGH.
- 48,903patients
were treated at Koidu Government Hospital in 2024
- 26major surgeries
are performed each week
- 12,987patients
were treated at the non-communicable diseases clinic in 2024
Surgical Care
Surgery at KGH plays a crucial role in providing essential medical services to the community and beyond. An average of 26 major surgeries are performed each week. To improve the quality of care for patients, the main theater was renovated in 2024 and the surgical pediatric ward started operating to provide specialized care for children with an average of four interventions each week.

Surgeons perform thyroid surgery on a patient at Koidu Government Hospital in Kono district, Sierra Leone.
AbuBakarr Tappiah Sesay / PIH
NCD Clinic
A new building for non-communicable diseases (NCDs) opened in 2025. In the previous space, up to three clinicians shared one consultation room and the work was challenging because of the large number of patients. The new building includes a bigger waiting area with a triage system for the patients, three consultation rooms, one room to perform ultrasounds, accessible restrooms, and a bigger pharmacy and store specifically for NCD medications and consumables. Barriers for patients returning for follow-up visits are a challenge within the clinic because of the high number of patients. To address this and reduce the frequent trips to the facility, the team has started multiple initiatives, including education sessions, peer group discussions, home visits by clinicians, and community health services.

The non-communicable disease clinic expanded with the construction of a dedicated space on the Koidu Government Hospital campus, which opened in February 2025.
Chiara Herold / PIH
Emergency Care
Since the opening of the pediatric and adult emergency wards in 2018 and 2019, patients with acute and critical medical and surgical conditions have been admitted free of charge and provided with a high standard of care. Having a well-equipped, separate space for treating critically ill patients has relieved substantial pressure on hospital staff in the inpatient and outpatient areas. Here, high standards of care are delivered through clear protocols and highly trained personnel. Through ongoing revisions and updating of management protocols and training for clinicians we ensure consistent and quality care.

Clinical Officer Alhaji Kargbo refers a patient to the adult emergency department at Koidu Government Hospital.
AbuBakarr Tappiah Sesay / PIH
Specialized Care
The specialized medical and surgical staff at KGH significantly enhance the quality of services provided, with ongoing training and mentorship programs that ensure clinicians are well-equipped to meet the complex needs of patients in the community. The hospital has five main areas of work: Internal Medicine, Pediatrics, Obstetrics and Gynecology, Surgery, and Mental Health where it hosts several highly trained specialists: two in internal medicine, one in emergency medicine, one in infectious diseases, one in surgery, three in pediatrics and three in obstetrics and gynecology. In addition, a large team of specialized nurses, including neonatal nurses, midwives, and emergency nurses, work in mentoring and capacity building.

Sister Patricia Efe Azikiwe (right), reproductive, maternal, newborn, child, and adolescent clinical program manager, mentors the next generation of nurses and midwives at Koidu Government Hospital.
Chiara Herold / PIH